Organization Active NPI

The in-Home Parent Coach, LLC

  • Clinical Social Worker
  • Rochelle Park, NJ
National Provider Identifier
1801362702
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE IN-HOME PARENT COACH, LLC
Practice address
151 W Passaic St FL 2
Rochelle Park, NJ 07662-3105
Phone
(201) 315-4151
Fax
(201) 300-6109
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jason Johnson, LCSW
Title
Single Managing Member
Phone
(201) 315-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

151 W Passaic St FL 2
Rochelle Park, NJ 07662-3105

Mailing address

151 W Passaic St FL 2
Rochelle Park, NJ 07662-3105
Phone (201) 315-4151

Other identifiers 2

IdentifierTypeStateIssuer
1357674930MedicaidNJ
1861867004MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
The in-Home Parent Coach LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

151 W Passaic St
#2
Rochelle Park, NJ 07662
Phone (201) 251-6565

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1801362702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W PASSAIC ST FL 2",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623105",
            "telephone_number": "201-315-4151",
            "fax_number": "201-300-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W PASSAIC ST FL 2",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623105",
            "telephone_number": "201-315-4151",
            "fax_number": "201-300-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE IN-HOME PARENT COACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SINGLE MANAGING MEMBER",
        "authorized_official_telephone_number": "201-315-4151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1357674930",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861867004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.